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Individual

DR. EDWARD B NOVAK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
240 WILLOW ST, TYLER, MN 56178-0240
(507) 247-5921
(507) 247-5184
Mailing address
240 WILLOW ST, TYLER, MN 56178-0240
(507) 247-5921
(507) 247-5184

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35176
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00314383
NY
Enumeration date
05/19/2006
Last updated
07/09/2007
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